Before we get in to the specific issues of buttock augmentation, let us clarify the similar but different issues in relation to lower body procedures. We have lower body lift, we have back lift we have Brazilian lift, we now have buttock lift we’ve buttock enhancement and augmentation.
Lower body lift usually identifies a process whereby an incision is made somewhere at the level of top of the underwear and excess skin through the buttocks is taken away. Back lift is similar in incision but the goal is always to take away the redundant skin within the back as opposed to the buttocks.
Brazilian buttock augmentation usually describes large volume fat grafting for the buttock area. In buttock augmentation, the goal is to provide more fullness inside the buttock area.
In buttock enhancement we take a more comprehensive glance at the lower back and buttock area and upper lateral thighs, and analyze how you will make it more harmonious and esthetic.
For the purpose we are going to look at the hip area, the buttock area itself in term of fullness tissue quality and fat distribution, and we will look at the trochanteric areas (saddle bags area). We will see where the proportions need to be improved and formulate a plan that could include implant, liposuction, fat grafting or skin resection.
There are two ways to carry out achieving a fuller ” derriere.” One is to use implants the 2nd is actually by putting fat extracted from another area of the body and placing it within the buttock area. Occasionally both procedures are essential to get the expected outcome.
First let us talk about the implants themselves. The implants are created from a really soft silicone solid. They are not a liquid and not gel either. They are different than the implants used for breast enlargement. And since they are made from a very soft solid even when it had been cut torn or pierced for example in a medication injection, no untoward effect would result. You can find various sizes available and there are different shapes available.
I use only a round implant. The main reason is when the implant would be to rotate and it was oblong the job then the significant deformity would result, but when it is round and it also rotates then no visual difference would result. The implant pocket is made exactly to the size of the implant so there is not too much possibility for that implant of moving and within 3 weeks following the surgery your body could have developed a sufficient quantity of scar tissue across the implant that can stop the implant from migrating. The incision is 7cm in size it really is put into the buttock fold which is made in a specialized way as to provide adequate healing and sealing of the space created. The good care of that incision is very simple: after shower or after the use of the toilet the incision and also the tape that is in addition to that are painted with an iodine based antiseptic.
In the event the shape that should be added to the buttock is not really exactly round then we do a mix of procedures, the implant providing the central area of the enhancement and the fat grafting supplying the contouring.
This can be very applicable in a situation where there is not enough fat to offer the projection needed so that an implant together with fat will be able to enhance the result achieved.
Fat transfer grafting is the other way we could achieve fullness within the buttock area, some individuals have advertised it as a Brazilian buttock lift. There is no agreed definition about what constitutes a Brazilian lift.
When fat is transferred in one part of the body to a different (in cases like this the buttocks) it really is transferred without its nourishment. To ensure that unwanted fat to live in the new location nourishment has to range from recipient site. This is a most important concept because in order to ensure survival of fat it has to be put into small quantities all over the area to become enhanced. Placing large pools of fat inside an area is not going to result in a successful “take” and also the fat will die causing potential infection, hard masses and discomfort. Because of this the limiting element in augmentation with fat is the size of the recipient area just as much as it will be the accessibility to fat to become transferred. If the recipient area is thin and small then a limited mount of fat can be successfully placed. And in that situation we might need an implant possibly in conjunction with fat grafting. Harvesting body fat properly is also important. It must be done in a septic technique in a “no touch technique”. What is meant by that is the fact that fat is aspirated, kept in a container and never in contact with air, and do not manipulated directly by surgical instruments.
In order to ensure the consistent and predictable level of fat placed in a given area, I actually have created a device which allows me to put a preset level of fat in a specific depth inside the tissue and also at a preset distance from your area that was just injected. This within my thoughts are the best way to have the graft fat survive in the recipient area. This equipment has also streamlined the ftfpfh and allows me to place larger quantities of fat in a shorter time period. This is very important because survival of the fat is enhanced by shortening the amount of time it really is kept outside the body. Post operatively it is very important to stay off the area which had been grafted to enable the region proper circulation for that survival in the grafted tissue with no interference of pressure and weight.